urge incontinence

incontinence /in·con·ti·nence/ (-kon´tĭ-nens)

1. inability to control excretory functions.

2. immoderation or excess.incon´tinent

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fecal incontinence  involuntary passage of feces and flatus.

overflow incontinence  urinary incontinence due to pressure of retained urine in the bladder after the bladder has contracted to its limits, with dribbling of urine.

passive incontinence  urinary or fecal incontinence in which the bladder or colon is full and cannot be emptied in the usual way but can be induced by pressure.

stress incontinence  involuntary escape of urine due to strain on the orifice of the bladder, as in coughing or sneezing.

urge incontinence , urgency incontinence urinary or fecal incontinence preceded by a sudden, uncontrollable impulse to evacuate.

urinary incontinence  inability to control the voiding of urine.

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urge incontinence (ûrj)

n.

Leakage of urine when the desire to void is strong. Also called urgency incontinence.

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incontinence

1. inability to control excretory functions. Food animals are not easy to classify with respect to their continence. Companion animals who suddenly lose their house training manners may be diagnosed as incontinent. See also urinary incontinence.

2. immoderation or excess.

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fecal incontinence

the inability to retain feces until a coordinated and appropriate act of defecation. Characterized by a relaxed anal sphincter and fecal material dropping out at intervals. Can be caused by injury to the anal sphincter or its nerve supply, particularly spinal nerves S1 to S3. A feature of sacral agensis.

neurogenic incontinence

see neurogenic urinary bladder.

retention-overflow incontinence

see atonic neurogenic urinary bladder.

stress incontinence

1. involuntary urination when stressed; common in young puppies.

2. urethral incompetence.

urge incontinence

frequent urination of small amounts; detrusor hyperreflexia.

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urge incontinence

Detrusor instability; irritable bladder; spasmodic bladder; unstable bladder; urgency incontinence Urology A condition characterized by a sudden and urgent need to urinate (urinary urgency), frequent urination; abdominal distention or discomfort immediately before an involuntary bladder contraction with a loss of a large amount of urine; a urine storage defect in which the bladder muscle contracts inappropriately regardless of the amount of urine in the bladder Etiology Idiopathic (most), neurologic disease–spinal cord injury, stroke, multiple sclerosis, infection, bladder CA, bladder stones, cystitis, bladder outlet obstruction–eg, BPH; UI is more common in elderly ♀; UI affects ±2% of older ♀ Diagnosis Post void residual–PVR, to measure amount of urine left after urination, urinalysis to exclude UTI, urinary stress test–Pt stands with full bladder, then coughs, pad test–after placing a pre-weighed sanitary pad, Pt exercises after which pad is re-weighed to ID urine loss/spillage, pelvic ultrasound, X-rays with contrast dye, cystoscopy, urodynamic studies–to measure pressure and urine flow, rarely, EMG Management Bladder retraining therapy, medications to relax bladder contractions, surgery; antispasmodics–eg, oxybutynin, Kegel exercises– which strengthen the muscles of the pelvic floor and thus improves the Sx of UI, antibiotics for UTIs, bladder retraining exercises, biofeedback; anticholinergics–propantheline and dicyclomine–which is also a bladder muscle relaxant Adverse effects Dry mouth, dizziness, drowsiness, ↑ heart rate, difficulty urinating, terbutaline–a beta-adrenergic that ↑ bladder capacity–Cons Palpitations, insomnia, HTN, distribution of fluid intake throughout the day; surgery aimed to ↑ bladder storage capacity, while ↓ the pressure in the bladder. See Kegel exercises, Oxybutynin. Cf Dribbling.